46D0938175 CLIA NUMBER - CENTRAL UTAH CLINIC PC MONROE CLINIC

Laboratory Demographics

  • CLIA Code: 46D0938175
  • Facility Name: CENTRAL UTAH CLINIC PC MONROE CLINIC
  • Facility Address: 260 E CENTER #206
    PROVO, UT
    ZIP 84604
  • Facility Phone: 435 527-8866
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: JASON OKERLUND
  • NPI Number: 1437205028
  • Taxonomy: 261QA1903X - Clinic/Center

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CLIA Record

Field Name Field Value
CLIA Number 46D0938175
LAB Type Physician Office
Facility Name CENTRAL UTAH CLINIC PC MONROE CLINIC
Street 260 E CENTER #206
City PROVO
State UT
ZIP 84604
Phone 435 527-8866
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 12/31/2023
Certificate Expiration Date 12/30/2025
Facility Type Physician Office
Lab Director JASON OKERLUND

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This page was last updated on: 9/29/2025